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Survey of experiences of chronically ill patients with care provided by general practitioners and evaluation of the outcomes of this care. 慢性病患者接受全科医生护理的经验调查及护理结果评估。
Casopis lekaru ceskych Pub Date : 2025-01-01
Bohumil Seifert, Norbert Král, Renata Chloupková, Lenka Vostalová
{"title":"Survey of experiences of chronically ill patients with care provided by general practitioners and evaluation of the outcomes of this care.","authors":"Bohumil Seifert, Norbert Král, Renata Chloupková, Lenka Vostalová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aging population and the increase in chronic multimorbidity are challenges for health systems. The PaRIS international survey assesses the experiences of chronically ill patients with primary healthcare provision and the outcomes of this care. Questionnaires were collected from 1,816 primary care providers and 107,011 patients from 19 OECD countries participating in the project. The Czech Republic contributed 110 questionnaires from primary care providers and 4,136 questionnaires from patients. In the Czech Republic, people with chronic diseases have better experiences with the quality of primary care and care coordination compared to the OECD PaRIS average. More chronically ill people in Czechia rate the fulfillment of social functions positively, while other care outcomes are around OECD PARIS average. This assessment is based on 10 key indicators, assessing patient-reported outcomes of care (PROMs) and evaluating patient-reported experiences (PREMs). The project provides valuable information for health policy and ongoing reforms.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 6","pages":"252-258"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145793383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology of yesterday, today, and tomorrow. 放射学的昨天，今天和明天。
Casopis lekaru ceskych Pub Date : 2025-01-01
Pavel Ryška, Antonín Krajina, Miroslav Šercl, Romana Březinová
{"title":"Radiology of yesterday, today, and tomorrow.","authors":"Pavel Ryška, Antonín Krajina, Miroslav Šercl, Romana Březinová","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 5","pages":"202-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
On the 80th anniversary of the Eye Clinic in Hradec Králové. 在赫拉德克眼科诊所成立80周年之际Králové。
Casopis lekaru ceskych Pub Date : 2025-01-01
Libor Hejsek
{"title":"On the 80th anniversary of the Eye Clinic in Hradec Králové.","authors":"Libor Hejsek","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"164 5","pages":"236"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145502120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vocational rehabilitation of patients after injury or with chronic illness. 伤后或慢性病患者的职业康复。
Casopis lekaru ceskych Pub Date : 2024-01-01
Petr Džambasov, Pavla Povolná
{"title":"Vocational rehabilitation of patients after injury or with chronic illness.","authors":"Petr Džambasov, Pavla Povolná","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vocational rehabilitation plays a key role in the overall improvement of the quality of life for patients with chronic illness or after injury. Physicians have an important role in identifying suitable patients and recommending vocational rehabilitation as part of a comprehensive rehabilitation treatment. This article provides an overview of the use of vocational rehabilitation in the treatment of various patients with different types of illnesses and suggests criteria for selecting appropriate patients for involvement in vocational rehabilitation. The review presents the current state of vocational rehabilitation, its possibilities, limitations, and challenges for further development. One of the main challenges is the potential use of vocational rehabilitation for patients on temporary disability leave. Although employment law has allowed this possibility for 20 years, in practice, the tool of vocational rehabilitation has not yet been used for this group of individuals. The article also brings new findings revealed by research conducted within an experimental project that pilot tested the concept of so-called \"vocational rehabilitation centers.\" The research showed, among other things, that the early involvement of individuals with disabilities in vocational rehabilitation, combined with a multidisciplinary approach, more than triples their chances of obtaining or retaining employment.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 4","pages":"155-158"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Window to the soul: the eye in medical discourse. 心灵之窗：医学话语中的眼睛。
Casopis lekaru ceskych Pub Date : 2024-01-01
Václav Blažek, Martina Šmejkalová
{"title":"Window to the soul: the eye in medical discourse.","authors":"Václav Blažek, Martina Šmejkalová","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 5","pages":"209-213"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesk a bída zdravotních obvodů. 卫生区的辉煌与悲惨。
Casopis lekaru ceskych Pub Date : 2024-01-01
Adam Šimčík
{"title":"Lesk a bída zdravotních obvodů.","authors":"Adam Šimčík","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study deals with the development and evaluation of healthcare districts, which were implemented in the territory of Czechoslovakia in the early 1950s and abolished in the early 1990s due to the reform of the Czech healthcare system in progress at the time. The author of the study examines the legal frame of healthcare districts, their real form and occupation and further the transformation of their structure over time. The study also evaluates the advantages and disadvantages of health districts from the perspective of the patient, the doctor and the state.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 1","pages":"65-75"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Akatizie - častý, ale obtížně rozpoznatelný nežádoucí účinek? 肌萎缩--一种常见但难以识别的副作用？
Casopis lekaru ceskych Pub Date : 2024-01-01
Jindřiška Voláková
{"title":"Akatizie - častý, ale obtížně rozpoznatelný nežádoucí účinek?","authors":"Jindřiška Voláková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drug induced akathisia is classified as an extrapyramidal adverse effect. Although akathisia is quite common extrapyramidal adverse effect, it is often overlooked or mistaken for restlessness or agitation of another etiology. Drugs associated with the risk of extrapyramidal adverse effects (antipsychotics, antiemetics, antidepressants) belong to frequently used pharmacotherapy. The use of these drugs is often complicated by serious condition of a patient and several other comorbidities, which increase the risk of the aforementioned adverse effects. In many situations, akathisia can be more difficult to recognize and more easily attributed to non-drug etiology, especially outside the fields of psychiatry and neurology. The variability of the clinical symptoms and the similarity to other clinical entities that occur frequently (anxiety, delirium, agitated depression, restless legs syndrome, etc.) can lead to difficult determination of the etiology and to the administration of medication, which tends to worsen the problem. At the same time, akathisia can be a source of very strong distress for a patient and fundamentally reduce his quality of life.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tomáš Šídlo - zapomenutý laryngolog zemřel před 110 lety ve Vídni. Tomáš Šídlo - 这位被遗忘的喉科专家 110 年前在维也纳去世。
Casopis lekaru ceskych Pub Date : 2024-01-01
Ivan Kalivoda
{"title":"Tomáš Šídlo - zapomenutý laryngolog zemřel před 110 lety ve Vídni.","authors":"Ivan Kalivoda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tomáš Šídlo, a Czech physician active in Vienna in the second half of the 19th century, is among the less researched figures in Czech medicine. He was born in 1839 in Strážovice, in Western Bohemia, studied medicine at the Vienna Medical-Surgical Academy, where he earned his doctorate in general medicine in 1866. He specialized in laryngology and later also qualified in this field. He published works in Czech and German on diphtheria, stenosing respiratory diseases, and voice disorders. After serving in the military, he moved to civilian practice in 1889 and earned an excellent reputation as a general practitioner.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 1","pages":"76-78"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Možné přístupy v hodnocení adherence. 评估依从性的可能方法。
Casopis lekaru ceskych Pub Date : 2024-01-01
Alena Pilková
{"title":"Možné přístupy v hodnocení adherence.","authors":"Alena Pilková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many patients do not take their medication as prescribed by their physician, either intentionally or unintentionally. This phenomenon, most referred as nonadherence, leads to suboptimal treatment response and increased healthcare costs. To detect nonadherence, in addition to indirect methods, we also use direct methods that detect the presence of the drug in patient's body. However, by simple assessment based on the presence or the absence of a measurable concentration of the drug or its metabolite in a blood sample, it is difficult to distinguish complete adherence from partial adherence, i.e., a situation where the patient takes the drug irregularly, or from masked adherence, where the patient takes his medicine only once before a medical appointment. A possible refinement may be allowed using pharmacokinetic simulations, which estimate whether the measured value corresponds to the expected drug level after a single or short-term administration, or whether it represents steady state confirming long-term adherence. Not only an analysis of a parent drug, but also its metabolite with more favourable pharmacokinetic properties (especially with longer half-life) can be used. Since, in many cases, nonadherence can be caused by several different reasons, multiple approaches in its detection and management are required and a multidisciplinary approach should be involved.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 1","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Injury of the popliteal artery by shrapnel of a Ukrainian girl treated at the University Hospital Ostrava - case report of arterial lesion without acute limb ischemia. 俄斯特拉发大学医院治疗乌克兰女孩腘动脉弹片损伤-动脉病变无急性肢体缺血1例报告。
Casopis lekaru ceskych Pub Date : 2024-01-01
Petr Jelínek, František Jalůvka, Jan Roman, Igor Dudík, Jan Velička, Martin Pieš, Radovan Hájovský, Ján Hrubovčák
{"title":"Injury of the popliteal artery by shrapnel of a Ukrainian girl treated at the University Hospital Ostrava - case report of arterial lesion without acute limb ischemia.","authors":"Petr Jelínek, František Jalůvka, Jan Roman, Igor Dudík, Jan Velička, Martin Pieš, Radovan Hájovský, Ján Hrubovčák","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A popliteal artery injury in a 12-year-old female patient, injured in the war conflict in Ukraine, proved to be serious, requiring surgical treatment, despite seemingly poor symptoms and the absence of subjective difficulties. The presentation of arterial injury without acute limb ischemia was atypical. The clinical picture of the lower limb in the sense of \"pulseless pink\" based on an arterial lesion is not common, but its underestimation can have permanent consequences for the patient.</p>","PeriodicalId":9645,"journal":{"name":"Casopis lekaru ceskych","volume":"163 6","pages":"240-243"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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